Dexter D Dewitt MD

NPI 1093714834 - Pediatrics - 208000000X

NPI Details
NPI 1093714834
Gender Male
Enumeration Date 07/14/2005
Last Updated 12/06/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
126 E MAIN ST
SUITE B
PAYSON AZ, 85541-5488, US
Phone (928) 468-5437
Fax
Business Location
7100 COMMERCE WAY
SUITE 180
BRENTWOOD TN, 37027-2829, US
Phone (615) 465-7000
Fax
Toxanomy
Taxonomy Code 208000000X
License State Arizona
License Number 6525
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According to our database, Dexter D Dewitt MD NPI is 1093714834, taxonomy code is 208000000X and license number is 6525, license state is located at Arizona. Dexter D Dewitt MD physically located at 126 E Main St, Payson AZ, 85541-5488. NPI Number Dexter D Dewitt MD has the Individual type.

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1093714834 NPI number is provided on an as is basis without warranty of any kind. 1093714834 is maintained by the National Plan & Provider Enumeration System. The contents of Dexter D Dewitt MD are for informational purposes only.